Individual provider Active NPI

Jessica M Levin, NP-C

  • Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1952898348
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017037840 Issued in MO
Practice address
70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Phone
(636) 916-9615
Fax
(314) 653-4149
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017037840 MO Primary

Addresses

Primary practice location

70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619

Mailing address

70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Phone (636) 916-9615

Other practice location 1

11133 Dunn Rd
Suite 2335
St Louis, MO 63136
Phone (314) 653-5007

Other practice location 2

6 Jungermann Cir Ste 210
Saint Peters, MO 63376-1625
Phone (636) 441-6056

Other identifiers 1

IdentifierTypeStateIssuer
1164534210MedicaidMO

Other names 1

  • Jessica M Hayes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180510000804 MO Practitioner - Nurse Practitioner 0446514871 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

70 Jungermann Cir
Suite 201
Saint Peters, MO 63376-1619
Phone (636) 916-9615

Hospital & facility affiliations

  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017037840MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Physician Groups LC CurrentSince Feb 1, 2024 Accepting new patients
Physician Groups LC CurrentSince Feb 1, 2024 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 4, 2023 Accepting new patients

Locations

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

11133 Dunn Rd
Ste 2335
Saint Louis, MO 63136
Phone (314) 653-5007

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950

70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1952898348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761619",
            "telephone_number": "636-916-9615",
            "fax_number": "314-653-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761619",
            "telephone_number": "636-916-9615",
            "fax_number": "314-653-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11133 Dunn Rd",
            "address_2": "Suite 2335",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "63136",
            "country_code": "US",
            "telephone_number": "314-653-5007",
            "fax_number": "314-653-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Jungermann Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761625",
            "country_code": "US",
            "telephone_number": "636-441-6056",
            "fax_number": "636-441-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017037840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164534210",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Jungermann Cir Ste 201",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAYES",
            "middle_name": "M",
            "credential": "AGNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.